PrescribeIT® Specification and Guide Version 5.0


v5.0 of this specification has been superseded by v5.3. v5.3 is compatible but adds additional features for Quebec.

The version (Bundle.meta.tag:version) that is sent in the message will remain PrescribeIT5.0

 

The official URL for this extension is:

http://prescribeit.ca/fhir/StructureDefinition/ext-request-dispenser-instructions

Status: draft
Extension maintained by:

Provides additional instructions from the prescriber to the pharmacy or other dispenser

Context of Use

This extension may be used on the following element(s):

  • {"type"=>"MedicationOrder"}
  • {"type"=>"SupplyRequest"}

Usage info

Usage:

Download Excel representation

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from Extension

NameCard.TypeConstraints and Usage
.  Extension 0..1ExtensionDefinition:
Provides additional instructions from the prescriber to the pharmacy or other dispenser

..  url 1..1uri"http://prescribeit.ca/fhir/StructureDefinition/ext-request-dispenser-instructions"
..  value[x] 1..1stringMax Length: 5000
Definition:
Provides additional instructions from the prescriber to the pharmacy or other dispenser


Comments:
Usage Note: To convey explicit instructions to the Pharmacist/dispenser related to this medication order.



Usage Note: If the PMS solution is unable to display the entire instructions, then it is expected that the current solution has a fail-over process and will create a printout of the prescription.



Conformance Rule: PMS solution must be able to print out the entire prescription with ALL dispensing instructions included on the printout. Minimum data elements can be based on the eFax model



Conformance Rule: When 'compliance pack' is indicated on the prescription within the EMR, populate the pharmacist instruction/dispenser instructions with 'COMPLIANCE PACK REQUESTED'



Usage Note: In the case where the prescriber indicates the concept of ‘do not adapt’ (meaning that the pharmacist should not alter the prescription based on the patient's weight as an example), this direction to the pharmacist should be conveyed in human language in this field.



Conformance Rule: If a prescriber wishes to indicate that there is no substitution it must be included as part of the pharmacy instructions.

This structure is derived from Extension

Summary

Mandatory: 2 elements
Must-Support: 2 elements
Fixed Value: 1 element
Prohibited: 1 element

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1ExtensionDispenser Instructions
... extension 0..0
... url S1..1uri"http://prescribeit.ca/fhir/StructureDefinition/ext-request-dispenser-instructions"
... value[x] S1..1stringDispenser Instructions
Max Length: 5000

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1ExtensionDispenser Instructions
... id 0..1idxml:id (or equivalent in JSON)
... url S1..1uri"http://prescribeit.ca/fhir/StructureDefinition/ext-request-dispenser-instructions"
... value[x] S1..1stringDispenser Instructions
Max Length: 5000

doco Documentation for this format

Grid View

This structure is derived from Extension

NameCard.TypeConstraints and Usage
.  Extension 0..1ExtensionDefinition:
Provides additional instructions from the prescriber to the pharmacy or other dispenser

..  url 1..1uri"http://prescribeit.ca/fhir/StructureDefinition/ext-request-dispenser-instructions"
..  value[x] 1..1stringMax Length: 5000
Definition:
Provides additional instructions from the prescriber to the pharmacy or other dispenser


Comments:
Usage Note: To convey explicit instructions to the Pharmacist/dispenser related to this medication order.



Usage Note: If the PMS solution is unable to display the entire instructions, then it is expected that the current solution has a fail-over process and will create a printout of the prescription.



Conformance Rule: PMS solution must be able to print out the entire prescription with ALL dispensing instructions included on the printout. Minimum data elements can be based on the eFax model



Conformance Rule: When 'compliance pack' is indicated on the prescription within the EMR, populate the pharmacist instruction/dispenser instructions with 'COMPLIANCE PACK REQUESTED'



Usage Note: In the case where the prescriber indicates the concept of ‘do not adapt’ (meaning that the pharmacist should not alter the prescription based on the patient's weight as an example), this direction to the pharmacist should be conveyed in human language in this field.



Conformance Rule: If a prescriber wishes to indicate that there is no substitution it must be included as part of the pharmacy instructions.

This structure is derived from Extension

Summary

Mandatory: 2 elements
Must-Support: 2 elements
Fixed Value: 1 element
Prohibited: 1 element

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1ExtensionDispenser Instructions
... extension 0..0
... url S1..1uri"http://prescribeit.ca/fhir/StructureDefinition/ext-request-dispenser-instructions"
... value[x] S1..1stringDispenser Instructions
Max Length: 5000

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1ExtensionDispenser Instructions
... id 0..1idxml:id (or equivalent in JSON)
... url S1..1uri"http://prescribeit.ca/fhir/StructureDefinition/ext-request-dispenser-instructions"
... value[x] S1..1stringDispenser Instructions
Max Length: 5000

doco Documentation for this format

 

Other representations of extension: Schematron

3.29.3 Terminology Bindings

Constraints

IdPathDetailsRequirements